Provider Demographics
NPI:1275631228
Name:SCHWARTZ, PAMELA YEW (PHD, MA, MED,)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:YEW
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD, MA, MED,
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:YEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, M ED, BA
Mailing Address - Street 1:136 WAVERLY PL
Mailing Address - Street 2:APARTMENT 7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-6821
Mailing Address - Country:US
Mailing Address - Phone:212-242-4010
Mailing Address - Fax:212-242-0104
Practice Address - Street 1:26 W 9TH ST
Practice Address - Street 2:SUITE 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8971
Practice Address - Country:US
Practice Address - Phone:646-831-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health